2012年11月我院收治1例散发性亚硝酸盐中毒出现心肌损伤伴心电图心肌缺血改变为特征的老年患者,现报告如下。患者,女,80岁,因发现胸闷、气促、反应迟钝1h送入急诊室。患者平时独居,曾有血压偏高史,心电监护:BP:115/68mmHg(1 mmHg=0.133kPa),P:101次/min,SaO2:80%,体检:呈嗜睡状,呼之反应迟钝,呼吸急促,口唇、手指紫绀,双肺呼吸音偏低,未闻及干湿啰音,心率:101次/min,心 November 2012 admitted to our hospital in 1 case of sporadic nitrite poisoning myocardial injury with electrocardiographic myocardial ischemia is characterized by elderly patients, are as follows. The patient, female, 80 years old, was admitted to the emergency room due to chest tightness, shortness of breath, and unresponsiveness 1 h. Patients usually living alone, had a high history of hypertension, ECG: BP: 115/68 mmHg (1 mmHg = 0.133kPa), P: 101 times / min, SaO2: 80%, physical examination: Shortness of breath, lips, fingers cyanosis, lung breath sounds low, no smell and wet and dry rales, heart rate: 101 beats / min, heart